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1104150788
DEIRDRE A RUSSELL
ALLENTOWN, PA
NPI
1104150788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA TMA052143)
Enumeration Date
2009-09-29
Last Update Date
2014-11-03
Business Address
-- DEIRDRE A RUSSELL PA-C
1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103-6224
Phone number: 610-435-1003
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Mailing Address
-- DEIRDRE A RUSSELL PA-C
1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103-6224
Phone number: 610-435-1003
Copy
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